Document Detail


How do we compare? Applying UK pay for performance indicators to an Australian general practice.
MedLine Citation:
PMID:  20369134     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: United Kingdom general practitioners receive payment based on their performance in multiple clinical indicators. We set out to apply the same indicators in an Australian general practice to benchmark our performance and to see how much work was required to obtain the data. METHODS: Clinical indicators for the 2008-2009 UK Quality and Outcomes Framework (QOF) cycle were examined and achievement levels measured in a large rural Australian general practice, mainly by computer searching of the clinical database. RESULTS: Outcome measures were obtainable for 79 out of 80 indicators. Manual perusal of computer records was required for 16 indicators. Data collection takes approximately 130 hours. The Australian general practice achieved 66% of available pay for performance points compared to the UK average of 97%. DISCUSSION: United Kingdom QOF clinical data is obtainable relatively easily in a well computerised Australian rural general practice. The exercise identified significant areas in which clinical performance could be improved.
Authors:
Adrian Elliot-Smith; Mark A J Morgan
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Australian family physician     Volume:  39     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-04-06     Completed Date:  2010-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  43-8     Citation Subset:  IM    
Affiliation:
adrian.elliotsmith@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care Facilities
Databases as Topic
Family Practice / economics,  standards*
Great Britain
Health Policy
Quality Assurance, Health Care / economics*
Quality Indicators, Health Care
Reimbursement, Incentive*
South Australia

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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